Individual provider Active NPI

Emily R. Lantz, PSY.D.

  • Psychologist
  • Tarrytown, NY
National Provider Identifier
1013115963
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
017204 Issued in NY
Practice address
200 S Broadway
Suite 201
Tarrytown, NY 10591-4500
Phone
(914) 860-6608
Fax
(914) 502-0120
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 017204 NY Primary

Addresses

Primary practice location

200 S Broadway
Suite 201
Tarrytown, NY 10591-4500

Mailing address

200 S Broadway
Suite 201
Tarrytown, NY 10591-4500
Phone (914) 860-6608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070726000050 NY Practitioner - Clinical Psychologist 9537260187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

181 S Broadway
Tarrytown, NY 10591-4531
Phone (914) 860-6608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017204NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emily R. Lantz PSYD PC Psychologist CurrentSince Mar 17, 2010 Accepting new patients
Neuropsychological Services of Westchester,PLLC PastSince Mar 1, 2008 Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients

Locations

200 S Broadway
Ste 201
Tarrytown, NY 10591
Phone (914) 332-6661

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1013115963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S BROADWAY",
            "address_2": "SUITE 201",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914500",
            "telephone_number": "914-860-6608",
            "fax_number": "914-502-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S BROADWAY",
            "address_2": "SUITE 201",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914500",
            "telephone_number": "914-860-6608",
            "fax_number": "914-502-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTZ",
        "first_name": "EMILY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "017204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

Verify at the official NPI Registry.